ELELYSO J Code: J3060

Drug & Product Overview

HCPCS Descriptor Injection, taliglucerase alfa, 10 units

HCPCS Added Date January 1, 2014

Manufacturer Pfizer

Route of Administration Intravenous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution

About ELELYSO

Elelyso is a medication aligned to the HCPCS J Code: J3060 for billing, pricing, and reimbursement purposes in the United States. This Enzyme Replacement Therapy medication is administered via the intravenous route and manufactured by Pfizer.

According to CMS Drug Use Information: Taliglucerase alfa is used to treat a certain rare genetic problem (Gaucher disease). Taliglucerase alfa replaces a certain natural substance (an enzyme called glucocerebrosidase) that is missing in people with Gaucher disease. This medication improves blood, bone, liver, and spleen problems caused by Gaucher disease. Taliglucerase alfa does not correct the genetic problem, and treatment must be continued for life.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00069-0106-01	Elelyso	Pfizer Laboratories Div Pfizer Inc	20	Elelyso Intravenous In jection 200 UNIT… Login for More

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ELELYSO Pricing & Reimbursement

J3060 Private Payer Reimbursement

$41.13 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

ELELYSO CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Not on the CMS JW / JZ list

CMS does not include Elelyso (J3060) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3060. Wastage billing guide →

ELELYSO Medically Unlikely Edits (MUE)

The most billing units of J3060 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 units.

Practitioner Office & Hospital Outpatient

760 units / day

= 7,600 units per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ELELYSO Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Type 1 Gaucher disease

Drug Class

Glucosylceramidase [CS]Hydrolytic Lysosomal Glucocerebroside-specific Enzyme [EPC]

Frequently Asked Questions

Is there an available Elelyso billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for ELELYSO.

Are there any available Elelyso patient assistance programs?

ELELYSO patient assistance information can be found through Pfizer. Visit Here →

Where can I find Elelyso prescribing information?

ELELYSO prescribing information can be found at the link below: Visit Here →

Where can I find Elelyso side effect information?

Information regarding ELELYSO's side effects can be found at MedlinePlus Visit Here →

Does billing ELELYSO require JZ/JW wastage modifiers?

CMS does not include ELELYSO (J3060) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3060. For more information, visit the link below.

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